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dc.contributor.authorFernandez-Carnero, Josue
dc.contributor.authorSierra-Silvestre, Eva
dc.contributor.authorBeltran-Alacreu, Hector
dc.contributor.authorGil-Martinez, Alfonso
dc.contributor.authorLa Touche, Roy
dc.date.accessioned2019-08-12T00:59:09Z
dc.date.available2019-08-12T00:59:09Z
dc.date.issued2019
dc.identifier.issn1526-2375
dc.identifier.doi10.1093/pm/pny115
dc.identifier.urihttp://hdl.handle.net/10072/383737
dc.description.abstractObjective: To determine the immediate effect of neural tension technique (NTT) on conditioned pain modulation in patients with chronic neck pain. A secondary objective was to determine the immediate effect of neural tensioner technique on pain intensity and cervical range of movement. Design: Randomized clinical trial. Setting: University medical center. Subjects: Fifty-four patients with neck pain (13 males and 41 females; mean± SD age = 20.91 ± 2.64 years) were randomly allocated to two groups: NTT or sham technique. Methods: Participants received a visual analog scale (VAS) and neck disability index (NDI) after inclusion. Conditioned pain modulation (CPM) and active cervical range of motion were measured before and after the intervention. Each subject received one treatment session. Results: The results of the analysis of variance revealed a significant effect for the group × time interaction only for CPM (F = 11.09, P = 0.002, η2p = 0.176). No significant interactions were found for the other measures (VAS [F = 1.719, P = 0.195, η2p = 0.031], pressure pain threshold C2 [F = 0.731, P = 0.398, η2p = 0.018], flexion [F = 0.176, P = 0.677, η2p = 0.003], extension [F = 0.035, P = 0.852, η2p = 0.001], lateral flexions [F = 0.422, P = 0.519, η2p = 0.008], and rotations [F = 1.307 P = 0.258, η2p = 0.024]). Regarding CPM, intergroup interaction differences were found postintervention (P = 0.002) with a high effect size (d = 0.98). Conclusions: This study suggests that neural tension technique enhances immediate conditioned pain modulation in patients with chronic neck pain, but not pain intensity or cervical range of movement.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOxford University Press
dc.relation.ispartoflocationEngland
dc.relation.ispartofpagefrom1227
dc.relation.ispartofpageto1235
dc.relation.ispartofissue6
dc.relation.ispartofjournalPain Medicine
dc.relation.ispartofvolume20
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPharmacology and Pharmaceutical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1115
dc.subject.fieldofresearchcode1117
dc.titleNeural Tension Technique Improves Immediate Conditioned Pain Modulation in Patients with Chronic Neck Pain: A Randomized Clinical Trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorSierra Silvestre, Eva


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